Organization Active NPI

Gentox Laboratories, LLC

  • Clinical Medical Laboratory
  • Anderson, SC
National Provider Identifier
1942680459
Registry record updated Jun 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
42D2095287 Issued in SC
Legal business name
GENTOX LABORATORIES, LLC
Practice address
1704 E Greenville St
Anderson, SC 29621-7914
Phone
(941) 518-0066
NPI assigned
Jun 1, 2015
Last updated
Jun 1, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Christopher Dee Sweeney, JD
Title
Owner
Phone
(941) 518-0066

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 42D2095287 SC Primary

Addresses

Primary practice location

1704 E Greenville St
Anderson, SC 29621-7914

Mailing address

1704 E Greenville St
Anderson, SC 29621-7914

Other identifiers 1

IdentifierTypeStateIssuer
42D2095287OtherSCCLIA CERTIFICATION

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
42D2340142Any Lab Test Now- Anderson, SC1704 E Greenville Street Suite 1D, Anderson, SC 29621Certificate of waiverMar 11, 2028

National Provider Directory

National Provider Directory

Locations

1704 E Greenville St
Anderson, SC 29621
Phone (864) 226-7676

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1433116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433116800000",
    "number": "1942680459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1704 E GREENVILLE ST",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296217914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1704 E GREENVILLE ST",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296217914",
            "telephone_number": "941-518-0066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENTOX LABORATORIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-01",
        "last_updated": "2015-06-01",
        "status": "A",
        "authorized_official_last_name": "SWEENEY",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "DEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-518-0066",
        "authorized_official_credential": "JD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "SC",
            "license": "42D2095287",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA CERTIFICATION",
            "identifier": "42D2095287",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.